The first patient was a week post-partum with some midline pelvic pain.

POCUS showed a hyperechoic line in the endometrial cavity: likely gas from endometritis.

The second patient had post-menopausal bleeding for over a month.

POCUS showed a very bulky post-menopausal uterus with a fluid collection cephalad to the uterus: likely endometrial Ca.

[Ed note: If you encounter unusual looking images like these , don’t hesitate to get further imaging to sort it out. The great thing about doing lots of scans is developing a good sense of normal and recognizing when something isn’t normal.]